Robert C Kelsey MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ROBERT C KELSEY MD PA

Practice address

201 Health Park Blvd
Suite 107
St Augustine, FL 32086-5796

Phone

(904) 827-0078

Fax

(904) 827-0078

NPI assigned

Oct 3, 2006

Last updated

Dec 21, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert C Kelsey, MDNPI 1831284306

Title

Owner

Phone

(904) 827-0078

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert C Kelsey, MD

  • Cardiovascular Disease Physician
  • St Augustine, FL
  • NPI 1831284306
  NPD (past) Authorized official
• Phillip Alex Wimpelberg, PA

  • Medical Physician Assistant
  • St Augustine, FL
  • NPI 1871686352
  NPD (past)
• Jean Cynthia Letts, MD

  • Internal Medicine Physician
  • West Pawlet, VT
  • NPI 1174516256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1982798740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3350",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853350",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "SUITE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865796",
            "telephone_number": "904-827-0078",
            "fax_number": "904-827-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C KELSEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-827-0078",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIALROAD MEDICARE",
            "identifier": "DC2506",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Spine & Pain Physicians, LLC
• Rivertown Chiropractic, LLC
• Michelle Marie Robalino-Sanghavi, M.D.
• Jerry Lee Robben
• Robert B Dehgan M D P a
• Robert W Olds MD PA
• Kevin D Roberts
• Lauren Sophia Roberts
• Samiiya Faith Roberts
• Kenneth Dillon Robertson, PH.D.

• Cardiovascular Disease Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.